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WO1993000083A1 - Composition pharmaceutique contenant de l'acide gamma-hydroxybutyrique ou sa lactone et utilisee dans le traitement de la toxicomanie et des troubles nutritionnels - Google Patents

Composition pharmaceutique contenant de l'acide gamma-hydroxybutyrique ou sa lactone et utilisee dans le traitement de la toxicomanie et des troubles nutritionnels Download PDF

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Publication number
WO1993000083A1
WO1993000083A1 PCT/EP1992/001409 EP9201409W WO9300083A1 WO 1993000083 A1 WO1993000083 A1 WO 1993000083A1 EP 9201409 W EP9201409 W EP 9201409W WO 9300083 A1 WO9300083 A1 WO 9300083A1
Authority
WO
WIPO (PCT)
Prior art keywords
treatment
drugs
hydroxybutyric acid
lactone
salts
Prior art date
Application number
PCT/EP1992/001409
Other languages
English (en)
Inventor
Gaetano Crepaldi
Santo Ferrara
Luigi Gallimberti
Gian Luigi Gessa
Original Assignee
Gaetano Crepaldi
Santo Ferrara
Luigi Gallimberti
Gian Luigi Gessa
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Gaetano Crepaldi, Santo Ferrara, Luigi Gallimberti, Gian Luigi Gessa filed Critical Gaetano Crepaldi
Priority to AT92912485T priority Critical patent/ATE204473T1/de
Priority to DE69232016T priority patent/DE69232016T2/de
Priority to EP92912485A priority patent/EP0563336B1/fr
Priority to US08/081,388 priority patent/US5426120A/en
Publication of WO1993000083A1 publication Critical patent/WO1993000083A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid

Definitions

  • the present invention relates to pharmaceutical compositions having therapeutic effects on abstinence, on craving (the intense and compulsive desire for a substance), and on dependence on drugs, drugs of abuse, psychotropics, stupefacient and/or psychoactive substances, nicotine and also on nutritional disorders (in particular bulimia, obesity and anorexia), such compositions being characterised in that they contain, as the active principle, ft-hydroxybutyric acid (GHB) , or salts thereof with pharmaceutically acceptable cations, or the corresponding lactone.
  • GLB ft-hydroxybutyric acid
  • the invention further relates to the use of %- hydroxybutyric acid or of its physiologically equiva ⁇ lent forms for the preparation of a medicament which is useful in the treatment of the withdrawal syndrome induced by drugs, drugs of abuse, psychotropics, stupefacient and/or psychoactive substances and nicotine.
  • the relevant salts of GHB include, for example, alkali metal (e.g. sodium or potassium) salts, alkaline earth metal (e.g. calcium or magnesium) salts, ammonium salts, salts of pharmaceutically acceptable bases (ethanolamine. diethanolamine, piperidine, piperazine and the like), salts of basic amino acids (lysine, ornithine, citrulline) etc.
  • alkali metal e.g. sodium or potassium
  • alkaline earth metal e.g. calcium or magnesium
  • ammonium salts salts of pharmaceutically acceptable bases (ethanolamine. diethanolamine, piperidine, piperazine and the like), salts of basic amino acids (lysine, ornithine, citrulline) etc.
  • the acid is a normal constituent of the central nervous system (CNS) of mammals, with the highest concentration in the hypo- thalamus and in the basal ganglia (c% 1.78 nM/g and 4.1 nM/g in rats and in guinea pigs, respectively).
  • CNS central nervous system
  • GHB Y-aminobutyric acid
  • y- hydroxybutyric acid and physiologically equivalent forms can advantageously be utilised for the treatment of the so-called withdrawal syndrome from drugs, drugs of abuse, psychotropics, stupefacient and/or psychoactive substances and from nicotine; in particular, drugs such as narcotics, opiates, cocaine, cannabinoids or psychoactive substances such as benzodiazepines, psychostimulants, amphetamines, nico ⁇ tine and their derivatives or the like.
  • drugs such as narcotics, opiates, cocaine, cannabinoids or psychoactive substances such as benzodiazepines, psychostimulants, amphetamines, nico ⁇ tine and their derivatives or the like.
  • ft- hydroxybutyric acid has also proved to be effective in the treatment of nutritional disorders such as bulimia, obesity and anorexia.
  • ⁇ craving'* which can be defined as an intense and compulsive desire for a given substance or a given food.
  • ⁇ -Hydroxybutyric acid has proved to be particu- larly active in inhibiting the onset of such symptoms, as it has been possible to demonstrate on the basis of clinical experiments on 23 subjects meeting the diagnostic criteria of opiate dependence and on 3 patients affected by nutritional disorders (one case of anorexia, one of bulimia and one of obesity).
  • Table 1 shows the characteristics of the groups of subjects employed, in accordance with a "double blind" scheme, for the study of the activity of GHB in the treatment of the opiate withdrawal syndrome. Eleven subjects were treated with GHB, including six who had used heroin in the last 24 hours (5 M, I F) and 5 undergoing methadone treatment (4 M, I F).
  • the control group consisted of 12 patients, 7 who used heroin (6 M, I F) and 5 undergoing therapy with methadone (3 M, 2 F) .
  • the two groups were homogeneous with regard to age, sex, duration and physical condition (Table 1) .
  • the patients showed the simultaneous use of benzodiazepine and/or cocaine, cannabinoids, amphetamine-type psychostimu- lants or nicotine.
  • the GHB group was treated by the oral route in 6 administrations (1.5 mg/kg/weight/day) .
  • the start of the treatment was decided on the basis of the onset of an abstinence symptomatology and was continued for 4 days in the case of the patients who had used heroin in the preceding 24 hours; treatment was continued for 8 days in the case of the patients who had used methadone.
  • the patients were subjected to a naltrexone induction by means of the administration of 0.4 mg of naloxone by the intravenous route, and then of 10 mg of naltrexone on the first day, 20 mg on the second day, 50 mg on the third and, then, were referred for a multimode treatment.
  • the GHB treated subjects showed, at 15* from the first administration, a reduction in the symptomatology, which subsequently declined so as to disappear within 30*.
  • the patients reported subjective wellbeing. In one case, a report was given of a feeling of slight dizziness, which disappeared after 30' without involving departure from the trial.
  • naltrexone induction was completed on the following days; subsequently, the patients were assigned to the out-patients multimode programme.
  • compositions forming the subject of the invention may be prepared by employing conventional excipients and techniques, such as those described in
  • the preferred administration route is the oral route using capsules, tablets, syrups or equivalent forms. It may be advantageous to employ administrations via the parenteral and/or intravenous route and delayed-release forms, for the purpose of reducing the frequency of administration imposed by the pharmacokinetics of the active principle.
  • the average daily dose will depend on a number of factors, such as the seriousness of the condition to be treated, as well as the weight, sex and age of the patient but, in general, this dose will be within the range 0.5 to 10 mg/kg/day, preferably between 1 and 2.5 mg/kg/day.

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicinal Preparation (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

L'acide Sg(g)-hydroxybutyrique et ses formes physiologiquement équivalentes sont utilisés pour le traitement du syndrome de sevrage, du désir impérieux de consommation de drogues, de la toxicomanie, de la dépendance due à l'usage de drogues, de psychotropes, de substances stupéfiantes et psychoanaleptiques, et de nicotine, ainsi que des troubles de la nutrition.
PCT/EP1992/001409 1991-06-28 1992-06-23 Composition pharmaceutique contenant de l'acide gamma-hydroxybutyrique ou sa lactone et utilisee dans le traitement de la toxicomanie et des troubles nutritionnels WO1993000083A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AT92912485T ATE204473T1 (de) 1991-06-28 1992-06-23 Pharmazeutische zusammensetzung, die gamma- hydroxybuttersäure oder das entsprechende lakton enthält, zur behandlung von drogenabhängigkeit und ernährungsstörungen
DE69232016T DE69232016T2 (de) 1991-06-28 1992-06-23 Pharmazeutische zusammensetzung, die gamma-hydroxybuttersäure oder das entsprechende lakton enthält, zur behandlung von drogenabhängigkeit und ernährungsstörungen
EP92912485A EP0563336B1 (fr) 1991-06-28 1992-06-23 Composition pharmaceutique contenant de l'acide gamma-hydroxybutyrique ou sa lactone et utilisee dans le traitement de la toxicomanie et des troubles nutritionnels
US08/081,388 US5426120A (en) 1991-06-28 1992-06-23 Pharmaceutical composition containing γ-hydroxybutyric acid or its lactone in the treatment of drug dependence and nutritional disorders

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITMI91A001791 1991-06-28
ITMI911791A IT1248588B (it) 1991-06-28 1991-06-28 Composizioni farmaceutiche per la terapia dell'astinenza, del " craving", della dipendenza da sostanze stupefacenti, da sostanze psicoattive, da nicotina e dei disturbi alimentari.

Publications (1)

Publication Number Publication Date
WO1993000083A1 true WO1993000083A1 (fr) 1993-01-07

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1992/001409 WO1993000083A1 (fr) 1991-06-28 1992-06-23 Composition pharmaceutique contenant de l'acide gamma-hydroxybutyrique ou sa lactone et utilisee dans le traitement de la toxicomanie et des troubles nutritionnels

Country Status (7)

Country Link
US (1) US5426120A (fr)
EP (1) EP0563336B1 (fr)
AT (1) ATE204473T1 (fr)
AU (1) AU2018792A (fr)
DE (1) DE69232016T2 (fr)
IT (1) IT1248588B (fr)
WO (1) WO1993000083A1 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0663824A4 (fr) * 1991-11-07 1994-10-27 Univ New York Composes d'activation des vannes a potassium et leurs procedes d'utilisation.
EP0635265A1 (fr) 1993-07-22 1995-01-25 LABORATORIO FARMACEUTICO C.T. S.r.l. Composition pharmaceutique à libération contrôlée à base d'un ou plusieurs sels de l'acide gamma hydroxybutyrique pharmaceutiquement acceptables
WO1998006690A1 (fr) * 1996-08-09 1998-02-19 Laboratorio Farmaceutico C.T. S.R.L. UTILISATION D'AMIDES DE L'ACIDE η-HYDROXYBUTYRIQUE DANS LE TRAITEMENT DES TOXICOMANIES ET NOTAMMENT DE L'ALCOOLISME
WO2000044374A1 (fr) * 1999-02-01 2000-08-03 Ortho-Mcneil Pharmaceutical, Inc. Utilisation de derives anti-convulsifs pour traiter la boulimie nerveuse
WO2010055260A1 (fr) * 2008-11-14 2010-05-20 Debregeas Et Associes Pharma Nouvelle composition à base d'acide gamma-hydroxybutyrique
US8916202B2 (en) 2009-08-12 2014-12-23 Debregeas Et Associes Pharma Floating microgranules
US8999392B2 (en) 2009-08-12 2015-04-07 Debregeas Et Associes Pharma Pharmaceutical formulations to prevent the misuse of medicinal drugs

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6472431B2 (en) 1998-12-23 2002-10-29 Orphan Medical, Inc. Microbiologically sound and stable solutions of gamma-hydroxybutyrate salt for the treatment of narcolepsy
RU2210360C1 (ru) * 2002-09-19 2003-08-20 Общество С Ограниченной Ответственностью "Консорциум-Пик" Психотропное средство
US8193211B2 (en) 2004-09-30 2012-06-05 Supernus Pharmaceuticals, Inc. Controlled release compositions of gamma-hydroxybutyrate
HRP20131027T1 (hr) 2009-04-23 2013-12-06 Concert Pharmaceuticals Inc. Analozi 4-hidroksimaslaäśne kiseline
US8759394B2 (en) * 2011-02-14 2014-06-24 Concert Pharmaceuticals, Inc. 4-hydroxybutyric acid analogs
US12186296B1 (en) 2016-07-22 2025-01-07 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11602513B1 (en) 2016-07-22 2023-03-14 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11504347B1 (en) 2016-07-22 2022-11-22 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
UY37341A (es) 2016-07-22 2017-11-30 Flamel Ireland Ltd Formulaciones de gamma-hidroxibutirato de liberación modificada con farmacocinética mejorada
US11000498B2 (en) 2016-07-22 2021-05-11 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11602512B1 (en) 2016-07-22 2023-03-14 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11986451B1 (en) 2016-07-22 2024-05-21 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
CA3127871A1 (fr) 2019-03-01 2020-09-10 Flamel Ireland Limited Compositions de gamma-hydroxybutyrate presentant une pharmacocinetique amelioree a l'etat alimente
US11779557B1 (en) 2022-02-07 2023-10-10 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11583510B1 (en) 2022-02-07 2023-02-21 Flamel Ireland Limited Methods of administering gamma hydroxybutyrate formulations after a high-fat meal

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0344704A1 (fr) * 1988-06-03 1989-12-06 LABORATORIO FARMACEUTICO C.T. S.r.l. Utilisation des sels de l'acide gamma-hydroxybutyrique pour la fabrication des compositions pharmaceutiques pour l'utilisation dans le traitement de l'alcoolisme, et les compositions obtenues

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DD139519A1 (de) * 1978-11-10 1980-01-09 Annedore Wehl Verfahren zur herstellung analgetischer formulierungen mit verbesserten gebrauchswerteigenschaften

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0344704A1 (fr) * 1988-06-03 1989-12-06 LABORATORIO FARMACEUTICO C.T. S.r.l. Utilisation des sels de l'acide gamma-hydroxybutyrique pour la fabrication des compositions pharmaceutiques pour l'utilisation dans le traitement de l'alcoolisme, et les compositions obtenues

Non-Patent Citations (9)

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Title
Alcohol and Alcoholism, vol. 24, no. 5, 1989, Pergamon Press plc, GB; F. Fadda et al.: "Suppression by gamma-hydroxybutyric acid of ethanol withdrawal syndrome in ats", pages 447-451, see the whole article *
Biochemical Pharmacology, vol. 23, no. 1, 1974, Pergamon Press, GB; M. Krishna Menon et al.: "Studies on the biochemical mechanisms of the central effects of gamma-hydroxybutyric acid" pages 879-885, see the whole article *
Federation Proceedings, vol. 36, no. 3, abstracts 61st annual meeting, Chicago, Illinois, US; R.D. Robson et al.: "Suppression of morphine withdrawal symptoms by baclofen (Bf) (lioresal(R))", see page 1025, abstract 3969 *
Neuropharmacology, vol. 24, no. 5, May 1985, Pergamon Press Ltd, GB; P.L. Gray et al.: "Evidence for GABA tolerance in barbiturate-dependent and withdrawn mice", pages 437-444, see the whole article, esp. page 440 *
Sov. Med., no. 12, 1984, E.A. Churkin et al.: "Hemosorption in narcologic practice", see Dialog Information Services Description *
Soviet Inventions Illustrated, Derwent Publications, section Chem., Week 7802, abstract 78-03570A, & SU, A, 552084 (AM USSR PHARMACOLOG) 15 April 1977, see abstract *
Soviet Inventions Illustrated, Derwent Publications, Section Chemical, Week 8534, abstract 85-208923, & SU, A, 11318163 (DNEPRA MEDICINE INST.) 7 February 1985, see abstract *
The Lancet, vol. II, nr. 8666, September 1989, L. Gallimberti et al.: "Gamma-hydroxybutyric acid for treatment of alcohol withdrawal syndrome", pages 787-789, see the whole article (cited in the application) *
Zh. Nevropatol. Psikhiatr. (USSR), vol. 66, no. 5, 1966, V.M. Banstchikov et al.: "L'emploi des dérivés de l'acide gamma aminobutyrique dans la pratique psychiatrique", pages 763-767, see abstract *

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0663824A4 (fr) * 1991-11-07 1994-10-27 Univ New York Composes d'activation des vannes a potassium et leurs procedes d'utilisation.
EP0635265A1 (fr) 1993-07-22 1995-01-25 LABORATORIO FARMACEUTICO C.T. S.r.l. Composition pharmaceutique à libération contrôlée à base d'un ou plusieurs sels de l'acide gamma hydroxybutyrique pharmaceutiquement acceptables
US5594030A (en) * 1993-07-22 1997-01-14 Laboratorio Farmaceutico C.T. S.R.L. Controlled release pharmaceutical compositions based on one or more pharmaceutically acceptable salts of gamma hydroxy-butyric acid
US6770784B2 (en) * 1996-08-09 2004-08-03 Laboratorio Farmaceutico C.T. S.R.L. Use of γ-hydroxybutyric acid amides in the treatment of drug addiction and in particular of alcoholism
US6436998B1 (en) 1996-08-09 2002-08-20 Laboratoric Farmaceutico C.T. S.R.L. Use of gamma-hydroxybutyric acid amides in the treatment of drug addiction and in particular of alcoholism
WO1998006690A1 (fr) * 1996-08-09 1998-02-19 Laboratorio Farmaceutico C.T. S.R.L. UTILISATION D'AMIDES DE L'ACIDE η-HYDROXYBUTYRIQUE DANS LE TRAITEMENT DES TOXICOMANIES ET NOTAMMENT DE L'ALCOOLISME
WO2000044374A1 (fr) * 1999-02-01 2000-08-03 Ortho-Mcneil Pharmaceutical, Inc. Utilisation de derives anti-convulsifs pour traiter la boulimie nerveuse
WO2010055260A1 (fr) * 2008-11-14 2010-05-20 Debregeas Et Associes Pharma Nouvelle composition à base d'acide gamma-hydroxybutyrique
FR2938431A1 (fr) * 2008-11-14 2010-05-21 Debregeas Et Associes Pharma Nouvelle composition a base d'acide gamma-hydroxybutyrique
US8529954B2 (en) 2008-11-14 2013-09-10 Debregeas Et Associes Pharma Composition based on gamma-hydroxybutyric acid
AU2009315441B2 (en) * 2008-11-14 2015-02-26 Debregeas Et Associes Pharma Novel composition based on gamma-hydroxybutyric acid
EA023305B1 (ru) * 2008-11-14 2016-05-31 Дебрежа Э Ассосье Фарма Гранулят гамма-гидроксимасляной кислоты
US8916202B2 (en) 2009-08-12 2014-12-23 Debregeas Et Associes Pharma Floating microgranules
US8999392B2 (en) 2009-08-12 2015-04-07 Debregeas Et Associes Pharma Pharmaceutical formulations to prevent the misuse of medicinal drugs

Also Published As

Publication number Publication date
ATE204473T1 (de) 2001-09-15
US5426120A (en) 1995-06-20
AU2018792A (en) 1993-01-25
EP0563336A1 (fr) 1993-10-06
ITMI911791A1 (it) 1992-12-28
IT1248588B (it) 1995-01-19
ITMI911791A0 (it) 1991-06-28
DE69232016T2 (de) 2002-05-29
EP0563336B1 (fr) 2001-08-22
DE69232016D1 (de) 2001-09-27

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